BED USE BY SUBSTANCE USERS IN GENERAL
HOSPITAL PSYCHIATRY: A STUDY PROTOCOL
Dipesh Bhagabati1, Shyamanta Das2, Shamiul
Akhtar Borbora3, Rahul
Mathur4, Simanta Talukdar5, Sakhee Bujarbarua6Professor and Head, 2Assistant
Professor, 3,4Postgraduate Trainee, 5Resident Physician,
Department of Psychiatry, Gauhati Medical College
Hospital, 6Lecturer of Statistics, Swadeshi
Academy, Guwahati, Assam, India
use by substance users in general psychiatric wing of
a medical college, where the number of beds are limited, may affect the service
to be provided to the patients of other primary mental illnesses. Hence it
would be helpful for the hospital service providers and authorities to know the
exact number of beds occupied by substance users, and to identify any pattern
in such bed use, e.g. seasonal variation, demographic variation,
admission-seeking behaviour among users of different
substances. In the long run, findings of this and subsequent such studies may
help policy-making, to direct necessary administrative efforts to the target
Keywords: Alcoholism. Comorbidity. Mental Disorders.
Alcoholism is a major public health problem
around the world. About half of the world population consumes alcohol. For all
years the mean adult per capita consumption is 5.1 litres of pure alcohol. The
magnitude of the problem in our country is considerable given that India has
the second largest population in the world, with 33% of its population
consuming alcohol. It is also a matter of concern that the annual rise in
consumption is substantial according to the latest report by World Health
Several studies were undertaken to determine
the prevalence of alcohol-related problems among inpatient samples in different
countries. The results of the National Longitudinal Alcohol Epidemiologic
Survey in the United States
showed that 15% to 42% of men and 4% to 35% of women admitted to general
medical-surgical services have alcohol related problems.
In order to determine the prevalence of
‘alcohol use disorders’, as diagnosed by the criteria of the fourth
edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-IV), in short-stay general hospital admissions, Smothers et al.
designed a multistage probability sample to represent acute care admissions to
non-federal, short-stay general hospitals. An estimated 1.8 million annual
hospital admissions met the criteria for a current DSM-IV alcohol use disorder.
Overall prevalence was estimated to be 7.4% among current drinking related
admissions; estimated prevalence was 24.0%. Pair wise comparisons showed
significant elevations in the prevalence of alcohol use disorders in current
drinking related admissions who were younger, unmarried, of a lower socioeconomic
status, smokers, or drug users.
Kouimtsidis et al. in their study in
found that 14% of an inpatient sample was positive for alcohol misuse; and
people misusing one substance were more likely to be misusing others.
determine the bed occupancy in indoor psychiatric service of an academic
medical centre by substance users.
find out the different types of substances used by such occupants.
compare between demographic parameters among such substance users.
observe the change of pattern of psychiatric bed occupied by substance users
over the months, throughout a year.
clearance was obtained from the Institutional Ethical Board, Gauhati Medical College & Hospital (GMCH).
area: The study will be conducted in GMCH.
period: September 2014 to August 2015.
type: A prospective chart review study.
Sampling procedure: Serial sampling.
size: All the patients admitted during the study period.
population: Both sexes.
admitted in psychiatry ward of GMCH, for substance use related disorders.
admitted with primary psychiatric disorder without co-morbid substance use.
data would be observed through a master chart.
Duration of stay
Mode of discharge
DoA=date of admission, DoD=date of discharge
statistics including number, percentage, mean, standard deviation (SD), and 95%
confidence interval (95% CI) will be used for data assessment.
of the study will be critically discussed in view of its aims and objectives;
and compared with previous similar studies. A final conclusion will be drawn
from the discussion, highlighting the implications of the study and future
directions. Limitations of various aspects of this proposed study will be
noted, as they arise during the progression of the study.
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status report on alcohol 2004 [internet]. Geneva:
Department of Mental Health and Substance Abuse, World Health Organization;
2004 [cited 2014 Sep 2]. Available from: http://www.who.int/substance_abuse/publications/global_status_report_2004_overview.pdf
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American Psychiatric Association.
Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC:
American Psychiatric Association; 1994.
Smothers BA, Yahr
HT, Ruhl CE. Detection of alcohol use disorders in
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